Sery, Laetitia Ifeyinwa

Sery, Laetitia Ifeyinwa is an individual health care provider with primary practice located at 1367 E Garrison Blvd Ste B , Gastonia NC 28054-5144. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Sery, Laetitia Ifeyinwa can be contacted via phone (704) 860-0945.

Contact Information

Primary practice address
1367 E Garrison Blvd Ste B Gastonia NC 28054-5144
Phone: (704) 860-0945
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 8474 North Carolina
Dental Providers / Pediatric Dentistry 1223P0221X 8474 North Carolina

Profile Details

NPI number 1740325232
LBN Legal business name Sery, Laetitia Ifeyinwa
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2007
Last updated Nov 30th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740325232 NPPES
North Carolina Other 8474 NC STATE BOARD

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